Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › DULUTH › BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.

BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.

NPI: 1578511572 · DULUTH, MN 55802 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/04/2006

$15K
Total Medicaid Paid
123
Total Claims
42
Beneficiaries
2
Codes Billed
2018-11
First Month
2019-01
Last Month

Provider Details

Authorized OfficialSOUTHWORTH, JEAN (BUSINESS ADMINISTRATOR)
NPI Enumeration Date05/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62 $7K
2019 61 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 106 25 $14K
D0140 Limited oral evaluation - problem focused 17 17 $732.00